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Antonio Basilio Bandales
NPI 1871226159 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5515 S. Durango Dr. Ste 120
Las Vegas, NV 89113 - Phone
- (702) 869-4401
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada